07th August, 2014

HANDS Emergency Response for IDPs of North Waziristan HANDS Update from District Bannu, KPK

Introduction of HANDS Pakistan: HANDS was founded by Prof.A.G.Billoo (Sitara-e-Imtiaz) in 1979. HANDS has evolved in 34 years as one of the largest Non-Profit Organization of the country with integrated development model. HANDS has a network of 30 offices across the country and has access to more than 16.2 million population nearly 20,274 villages/ settlement in 34 districts of Pakistan. HANDS strength is 18 volunteers Board Members, more than 1502 full time staff and nearly one million community based volunteers of 5205 medium and small size organizations. HANDS Pakistan is registered under Societies Act, is certified by Pakistan Center of Philanthropy (PCP) and Tax exempted by Income Tax Department Government of Pakistan. HANDS has qualified the Institutional Management Program (IMCP) of USAID of management standards. HANDS is accredited with European Union. HANDS also possess membership with Humanitarian Accountability Partnership (HAP). HANDS International recently established its office in London, United Kingdom. HANDS international –UK is registered as Non-Profit Organization in Companies Act 2006 of England and Wales.

HANDS Disaster Management Program: HANDS Disaster Management Program aims to reduce, or avoid the potential losses from the hazards, assure prompt and appropriate assistance to victims or survivors of disaster, and achieve rapid and effective recovery. HANDS has established Eight Disaster Risk Management Centers in Two Provinces i.e. Sindh and Punjab, inlcuding districts are Thatta, Sukkur, Jacobabad, Kashmore, Mirpurkhas, Hyderabad, Umerkot, Sanghar, Matiari and Rajanpur. HANDS has its base office with wellequipped warehouse in Karachi.

HANDS Disaster Management Program responded to major disasters in Pakistan – the Badin Cyclone in 2002, the Northern areas and Kashmir Earthquake 2005, the flood emergencies of 2010, 2011, 2012, 2013 in Sindh, Punjab and Balochistan; Earthquake in three districts of Balochistan in 2013, and recently in drought Emergency at Tharparkar (March 2014). HANDS Pakistan worked with integrated approach with Public sector stakeholders and communities to minimize losses, manage the vulnerabilities, provide relief, supports in recovery and then rehabilitation through contructions and provision of livelihoods. HANDS has vast experience to deal with emergency responses during the recent disaster in Pakistan.

1. Drought in Tharparkar in March 2014: Emergency Response was initiated within 5 hours and Relief package was provided to 6,000 families in 2 months. 2. Earthquake in Awaran Balochistan in October 2013: Emergency response was initiated within 8 hours & comprehensive relief package was provided in hard conditions and conflicted areas within two months to 10,000 families. 3. Rain Emergency 2012 in Northern Sindh, South Punjab & Balochistan: Emergency response was initiated within 6 hours. Distribution of emergency relief package was provided to 27000 families within 2 months 4. Rain Emergency 2011 in Southern Districts of Sindh: Emergency response was initiated within 8 hours in 8 districts. 29000 families were reached within 2 moths 5. Flood Emergency 2010: Emergency response was initiated within 4 hours in northern Sindh & 36,000 families were reached within 1 month.

Updated situation of Internally Displacement Persons from North Waziristan: As of 7 August, PDMA reported 1,000,428 people (95,109 families) registered as displaced from North Waziristan Agency. All registration points except in Kurram Agency are closed. According to the FATA Disaster Management Authority (FDMA) more than 993,116 Individuals / peoples (93,239) families have been registered those are displaced since the start of the operation While the verification process is ongoing; As of 31 July, NADRA reviewed the registration data of 93,239 families; 53,186 families (57 per cent, 581,459 people) were verified while 40,053 families (42.9 per cent) were rejected.

IDPs Movement: Mostly IDPs are coming to District Bannu, while some goes towards District Lukki Marwat, Tank, Karak, Kohat , Hangu and Dera Ismail Khan. Grievance desks have been established to facilitate families with documentation issues. The priority needs remain food, health, protection and water, sanitation and hygiene (WASH) activities. Urgent funding resources are needed to continue to scale up the humanitarian response

HANDS Emergency Response for Internally Displaced Families of NWA: HANDS Pakistan has started its Emergency Response for affected families of North Waziristan initially its own resources and now with the partnership of STEUN Pakistan. HANDS has got letter of collaboration from Ministry of SAFRON as well as got facilitation letter from Provincial Disaster Management Authority KP. HANDS initiated health services through conduction of Mobile Medical Camps with support of District Government Bannu, KPK Government, Health department, FDMA, SAFRON secretariat. HANDS teams has planned health education sessions on Health & Hygiene in the IDP camps at and different places in different UCs of District Bannu and at fixed Government BHU Chandni Chowk.

Mobile Medical Camps update:

Gender wise Ratio of Patients: Percentage distribution of Clients =1,279

Total 1,575 patients were treated by HANDS Medical team in 18 days and most of them were children which are 40%, 34% female and 26% male were also given medical facilities by HANDS team.

Male Female Children <5

299 26%

488 42%

377 32%

Diseases wise Ratio of Patients: 30.0

Percentage Distribution of Diseases = 1,279 25.3

25.0 20.0 16.3 15.0

12.6

13.1

13.0 9.3

10.0

5.9 5.0

4.5

0.0 Diarrhea

Dysentry

ARI

S. Malaria

Skin Disease

Heat Stroke

Eye Infections

Others

Overall report: < 5 Years Diseases

Total Patients

%

Male

> 5 Years

Female

Male

Female

Diarrhea

13.7

215

45

73

44

53

Dysentry

10.4

164

21

55

47

41

ARI

18.1

285

53

41

78

113

7.9

125

25

40

19

41

Skin Disease

14.3

225

29

40

69

87

Heat Stroke

5.0

78

8

16

26

28

Eye Infections

4.1

64

18

22

12

12

26.6

419

73

80

110

156

AFP Cases

0.0

-

-

-

-

-

S. Measles

0.0

-

-

-

-

-

272

367

405

S. Malaria

Others

Total

1,575

531

Coordination Meetings with Government and Non Government Organization Coordination Meeting with Different Government officials at Peshawar & Bannu, KP: HANDS Peshawar and Bannu teams conducted a meeting with different Government and Non Governmental organization including PDMA KP, DG Health, Director Health, DHO and Focal persons Health at Bannu. Coordination Meeting with NGOs , INGOs and representatives of UN Agencies at KP: HANDS Peshawar & Bannu teams Conducted meeting with NGOs / NHN , representatives of INGOs and representatives of UN agencies, OCHA, WFP, WHO and UNHCR working in the Province and briefed them regarding HANDS Pakistan Emergency Response for IDPs in KP.

HANDS Emergency Response Plan for IDPs of NWA:

Considering the previous track record and reputation of HANDS in emergency response; HANDS was called by Ministry of SAFRON and PDMA to extend the services. Considering the current situation in the area HANDS has shown the willingness with Government of Pakistan to start relief operations in affected areas through HANDS Peshawar office. HANDS has plan to provide emergency relief assistance to 25,000 families. This program supports the provision of food, water, shelter, health care, nutrition and protection assistance to people affected by natural disasters and complex emergencies. In the current situation in the North Waziristan, one of the FATA region, the displacement is towards the KP districts including the Bannu, Lakki Marwat, Tank and Dera Ismail Khan. The following plan is proposed includes immediate emergency relief and then extended short term plan. HANDS is seeking for financial assistance to provide the following packages to 25,000 affected population. (1) Mobile Medical Camps: HANDS Pakistan will provide medical services through it trained health care providers. Rs. 112 (£0.7) is required to provide the quality healthcare to one IDP. (2) WASH HANDS has the two Water Treatment Units- WTU ready to mobilize and provide the safe drinking water to affected population. Rs. 23. Per month are required to provide the safe drinking water to one displaced person. (3) NFI & Hygiene kit: Considering the hygiene and protection issues and previous experiences of HANDS; Rs. 3,265 (£20.4) are required to provide the NFIs & Hygiene kit. One solar light and one jerry can will be provided under NFI package and hygiene kit package will be comprised of towel, nail cutter, comb, sanitary cloths& dental powder. (4) Cash for work to produce the relief goods Most vulnerable households will be engaged for cash for work- CfW. Beneficiaries will be engaged for production of relief goods; i.e production of Neem soap, hand wash liquid, matts, cleaning of areas & other interventions. Affected population will be engaged for 12 working days and wages @ PKR. 300 per day will be paid. PKR 3,600 is required to engage one beneficiary to provide the temporary employment opportunities.

Cumulative Requirement =+ (Unit cost is calculated for per family): S# 1 2 3 4

Description Mobile Medical Camps Water Supply & Hygiene promotion (per family) NFI & Hygiene kit Cash for work to produce the relief goods including material cost

Unit Cost 220

Total Units 25,000

Cost PKR 5,500,000

Cost GBP 34,375

322

25,000

8,050,000

50,313

3,265

25,000

81,625,000

510,156

4,000

10,000

40,000,000

250,000

Grand Totali

135,175,000

844,844

HANDS Pakistan contacts information: Dr. Shaikh Tanveer Ahmed, Chief Executive ‐ HANDS Pakistan 140‐C, Block‐2, PECHS, Karachi, Ph: 021‐34527698, Cell# 03008200507 Email: [email protected] , Website: www.hands.org.pk Dr. Muhammad Sarwat Mirza - Chief Research & Development Executive, HANDS Pakistan HANDS Islamabad Office, Office 1, Block-5, Saidpur Market, Sector G-7/1, Islamabad Ph: 051-2606482; Fax: 051-2606483, Cell# 0300-8297503 Email: [email protected], Website: www.hands.org.pk Muhammad Raheem Marri, General Manager ‐ Disaster Management Program HANDS 140‐C, Block‐2, PECHS, Karachi, Ph: 021‐34527698, Cell# 0346‐8209561 Email: [email protected] , Website: www.hands.org.pk Donations: HANDS Account No.003800613865-03 (Habib Bank Limited) HANDS Zakat Account No. 003800705395-03 (Habib Bank Limited)